Monday, 28 December 2015

BREAKING DOWN THE BREAKDOWN

Alerts about a medical equipments possible failure could be a game changer.

In the current health care context,after-sales plays a vital role while buying any large medical equipments.it is the biggest influencer for a clinician while deciding toinvest on equipment. For any health care provider,turning away patients is undesirable and one of the causes of this situation is machine breakdown.This is especially cricitical in high-end machines like a CT scanner,MRI system,cath lab or a laboratory automation system. 

   How quickly a machine can be up and running was a concern of the past. Todays question is how well in advance would a clinician know about the problem with his system. The sheer possibility of getting a pre-alert of a fault is a game changer.This is digitalisation i service.

 Remote access has become parts of todays connected world. It is used reactively as well as proactively.In the reactive mode, it is used to fix problems when the customer reports an issue.
In the proactive mode, the equipment kepps relaying deviation in performance to the server, which is monitored by technical experts of the equipment company.

YOGA

STABLE SUPPORT

The shoulder girdle and the hip girdle form the two basic supports for the trunk.the shoulder blades give mobility to the upper extremities and a host of muscles are involved in making this possible.Here is a technique,using the stability ball, to maintain the stability of the shoulder blades.The upper back and lower back and lower back also benefit from exercise:

METHODS:
  • FIRST,SIT ON YOUR HEELS IN FRONT OF THE BALL
  • KNEEL,LEAN FORWARD AND REST THE ELBOWS ON THE BALL.
  • PRESS THE BALL WITH THE FOREARMS.
  • FOLD THE TOES,ROLL THE BALL FORWARD AND STRAIGHTEN THE LEGS.
  • ENSURE THAT THE TRUNK IS PARALLEL TO THE FLOOR.
  • FOOT SHOULD BE PERPENDICULAR FROM THE BASE OF THE HEEL,AND LEGS STRAIGHT.
  • PRESS THE FOREARMS ON THE BALL AND STABILISE THE POSTURE.
  • THE POSTURE CAN BE MADE LESS DIFFICULT BY INCREASING THE DISTANCE BETWEEN FEET.
  • AS YOU INHALE,EXPAND THE ABDOMEN AND AS YOU EXHALE,CONTRACT THE ABDOMINAL MUSCLES.
  • STAY FOR ABOUT 20-30 SECONDS WITH SLOW BREATHING.

Sunday, 27 December 2015

THE CURIOUS CASE OF HYPERTENSION

I woke up the other day to the major newspapers breaking the results of a new study that showed more intensive blood pressure treatment to less than 120 systolic reduced the rate of heart heart attacks by 30 per cent and mortality by 25 percent. I was a little peeved that i had to read the information in the paper, before the entire study was published and secondly because of the barrage of phone calls that the articles would generate.
          If you are planning to call your doctor,let me save you a call.The detailed study results will only be released in a few months. So no new recommendations will be made till we dissect the study  and the price the patients paid with regard to side effects to achieve  this new goal.While we are talking about medical information in the papers,I will let you in on little secret in the medical data world.The risk reduction that you read about is what we call relative risk reduction. say a group receiving a treatment has a rate of heart attacks of 20 per cent. you would assume that the risk reduction is 4 per cent. That is the absolute risk and not what is reported. The relative risk in this case is 20 per cent and that is what is reported in the media.The relative risk in a rough calculation is 16/20, which is 0.8, the remaining.20 translates into the relative risk reduction.. 

YOGA MADE EASY

The shoulder complex make many movements possible.One of these is flexion.Three factors come into play in imparting this movement: degree of flexion,intensity and load. These give a good stretch for the arms, shoulders complex and upper chest. The posture also relieves stiffness in the neck.
NOTE: these postures must be practiced in a graded way. Those who have a history of shoulder dislocation must consult your doctor before practicing these postures. The facilitator should have a good idea about the practitioners abilities and limitations.


METHOD
  • practioner: Lie prone on a yoga mat
  • Strech arms forward
  • stay for about 30 seconds with slow deep breathing
  • Gently lower the belt

Saturday, 26 December 2015

IN SUPPORT OF LIFE 


With noninvasive ventilation, a critical care patient can how breathe easy without having a tube put into his lungs. It is,however, recommended only for select patients. Newer biomarkers can tell whether a person has an active infection or not so that antibiotics can be stopped in cases where they are not required.Here are a few major advancements in critical care.


Therapeutic hypothermia  

      Therapeutic hypothermia or targeted temperature management refers to deliberate reduction of core body temperature, typically to a range of about 32 to 34 degrees Celsius for 24 hours in patients who do not regain consciousness after return of spontaneous circulation following cardiac arrest. The technique is used to protect the brain from further damage.

Infection control in hospitals 

Every year,lives are lost because of the spread of infections in hospitals.Nowadays, every hospital has a dedicated infection control nurse and committee to monitor incidence of infections in the hospitals and take steps to minimise occurrence.proper hand-washing is the most effective way to prevent the spread of infections in hospitals.


Endobronchial ultrasound 

In this, the physician performs a procedure called transbronchial needle aspiration to obtain tisue or fluid samples from the lungs and surrounding lymph nodes without conventional surgery. The sample can be used for diadnosing and staging lung cancer, detection infection and identifying inflammatory diseases that affec the lungs.

PAN CT scan and MRI brain screening


Most hospitals nowadays do head to thigh CT scan which takes hardly 15 minutes in seriously injured patients.The test helps in detecting injuries and their severity so that the doctor can prioritise lifesaving treatment. MRI brain screening again, in about 15 minutes, helps identify and rule out major stroke and infection in the brain.




  • MATHEMATICS







1. Mrs. Rodger got a weekly raise of $145. If she gets paid every other week, write an integer describing how the raise will affect her paycheck.

Solution:

Let the 1st paycheck be x (integer).

Mrs. Rodger got a weekly raise of $ 145.

So after completing the 1st week she will get $ (x+145).

Similarly after completing the 2nd week she will get $ (x + 145) + $ 145.

= $ (x + 145 + 145)

= $ (x + 290)

So in this way end of every week her salary will increase by $ 145.

2. The value of x + x(xx) when x = 2 is:

(a) 10, (b) 16, (c) 18, (d) 36, (e) 64

Solution:


x + x(xx)

Put the value of x = 2 in the above expression we get,

2 + 2(22)

= 2 + 2(2 × 2)

= 2 + 2(4)

= 2 + 8

= 10

Answer: (a)

3. Mr. Jones sold two pipes at $1.20 each. Based on the cost, his profit one was 20% and his loss on the other was 20%. On the sale of the pipes, he:

(a) broke even, (b) lost 4 cents, (c) gained 4 cents, (d) lost 10 cents, (e) gained 10 cents
Solution:

20 % profit on $ 1.20

= $ 20/100 × 1.20

= $ 0.20 × 1.20

= $ 0.24

Similarly, 20 % loss on $ 1.20

= $ 20/100 × 1.20

= $ 0.20 × 1.20

= $ 0.24

Therefore, in one pipe his profit is $ 0.24 and in the other pipe his loss is $ 0.24.

Since both profit and loss amount is same so, it’s broke even.

Answer: (a)

4. The distance light travels in one year is approximately 5,870,000,000,000 miles. The distance light travels in 100 years is:

(a) 587 × 108 miles, (b) 587 × 1010 miles, (c) 587 × 10-10 miles, (d) 587 × 1012miles, (e) 587 × 10-12 miles

Solution:


The distance of the light travels in 100 years is: 

5,870,000,000,000 × 100 miles.

= 587,000,000,000,000 miles.

= 587 × 1012 miles.

Answer: (d)

5. A man has $ 10,000 to invest. He invests $ 4000 at 5 % and $ 3500 at 4 %. In order to have a yearly income of $ 500, he must invest the remainder at:

(a) 6 % , (b) 6.1 %, (c) 6.2 %, (d) 6.3 %, (e) 6.4 %

Solution:


Income from $ 4000 at 5 % in one year = $ 4000 of 5 %.

= $ 4000 × 5/100.

= $ 4000 × 0.05.

= $ 200.

Income from $ 3500 at 4 % in one year = $ 3500 of 4 %.

= $ 3500 × 4/100.

= $ 3500 × 0.04.

= $ 140.

Total income from 4000 at 5 % and 3500 at 4 % = $ 200 + $ 140 = $ 340.

Remaining income amount in order to have a yearly income of $ 500 = $ 500 - $ 340.

= $ 160.

Total invested amount = $ 4000 + $ 3500 = $7500.

Remaining invest amount = $ 10000 - $ 7500 = $ 2500.

We know that, Interest = Principal × Rate × Time

Interest = $ 160,

Principal = $ 2500,

Rate = r [we need to find the value of r],

Time = 1 year.

160 = 2500 × r × 1.

160 = 2500r

160/2500 = 2500r/2500 [divide both sides by 2500]

0.064 = r

r = 0.064

Change it to a percent by moving the decimal to the right two places r = 6.4 %

Therefore, he invested the remaining amount $ 2500 at 6.4 % in order to get $ 500 income every year.

Answer: (e)



6. Jones covered a distance of 50 miles on his first trip. On a later trip he traveled 300 miles while going three times as fast. His new time compared with the old time was:

(a) three times as much, (b) twice as much, (c) the same, (d) half as much, (e) a third as much

Solution:


Let speed of the 1st trip x miles / hr. and speed of the 2nd trip 3x / hr.

We know that

Speed = Distance/Time.

Or, Time = Distance/Speed.

So, times taken to covered a distance of 50 miles on his first trip = 50/x hr.

And times taken to covered a distance of 300 miles on his later trip = 300/3x hr.

= 100/x hr.

So we can clearly see that his new time compared with the old time was: twice as much.

Answer: (b)

7. If (0.2)x = 2 and log 2 = 0.3010, then the value of x to the nearest tenth is:

(a) -10.0, (b) -0.5, (c) -0.4, (d) -0.2, (e) 10.0

Solution:


(0.2)x = 2.

Taking log on both sides 

log (0.2)x = log 2.

x log (0.2) = 0.3010, [since log 2 = 0.3010].

x log (2/10) = 0.3010.

x [log 2 - log 10] = 0.3010.

x [log 2 - 1] = 0.3010,[since log 10=1].

x [0.3010 -1] = 0.3010, [since log 2 = 0.3010].

x[-0.699] = 0.3010.

x = 0.3010/-0.699.

x = -0.4306….

x = -0.4 (nearest tenth)

Answer: (c)



8. If 102y = 25, then 10-y equals:

(a) -1/5, (b) 1/625, (c) 1/50, (d) 1/25, (e) 1/5

Solution:


102y = 25

(10y)2 = 52

10y = 5

1/10y = 1/5 

10-y = 1/5

Answer: (e)

കുടുംബങ്ങള്‍ക്ക് പ്രിയങ്കരമായി 'ജോ ആന്‍ഡ് ദി ബോയ്‌'. 

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മങ്കി പെന്‍ എന്ന വിജയ ചിത്രത്തിന് ശേഷം അതിന്‍റെ ക്രിയേറ്റീവ് ടീം വീണ്ടും ഒന്നിക്കുമ്പോള്‍ കുട്ടികള്‍ക്കും കുടുംബങ്ങള്‍ക്കും പ്രിയങ്കരമായൊരു ഫീല്‍ ഗുഡ് സിനിമയില്‍ കുറഞ്ഞൊന്നും ആരും പ്രതീക്ഷിക്കില്ല. സന്തോഷവും വൈകാരിക മുഹൂര്‍ത്തങ്ങളും നല്ല സന്ദേശങ്ങളും ചേര്‍ന്ന മികച്ചൊരു കഥയാണ് സംവിധായകന്‍ റോജിന്‍ ഈ ചിത്രത്തില്‍ കൂടി പറഞ്ഞിരിക്കുന്നത്. കഥാഗതിയ്ക്ക് അനുയോജ്യമായ ലോക്കെഷനുകളും , പ്രേക്ഷകര്‍ കണ്ടിരിക്കാന്‍ ഇഷ്ടപ്പെടുന്ന വിഷ്വലുകളും, അതിനോട് ഇഴ ചേര്‍ന്നിരിക്കുന്ന ഗാനങ്ങളും , പുതുമ ഉണര്‍ത്തുന്ന പല Concept-കളും , അവയ്ക്ക് ജീവന്‍ നല്‍കിയിരിക്കുന്ന കലാ സംവിധാന മികവും ചിത്രത്തില്‍ എടുത്തു പറയേണ്ട ഘടകങ്ങളാണ്. നമ്മുടെ പ്രതിസന്ധികളെ തരണം ചെയ്തു കൊണ്ട് സ്വപ്നം കാണുന്ന കാര്യങ്ങള്‍ പ്രാപ്തമാക്കുക എന്ന സന്ദേശം നല്‍കുന്ന ചിത്രത്തില്‍ , നമ്മുടെ ടെക്നികള്‍ - ബെഡ്ജറ്റ് ലിമിറ്റേഷന്‍സിനെ മാറി കടക്കുന്ന രീതിയിലുള്ള അനിമേഷന്‍ കാഴ്ചകള്‍ രണ്ടാം പകുതിയില്‍ കാണാന്‍ സാധിക്കുന്നുണ്ട്. കുട്ടികള്‍ അടങ്ങുന്ന കുടുംബ പ്രേക്ഷകര്‍ക്ക് രസിക്കാന്‍ ഉള്ള വകുപ്പാണ് സംവിധായകന്‍ അതിലൂടെ പറഞ്ഞിരിക്കുന്നത്. വളരെ യംഗ് ആയ മഞ്ജു വാര്യരെയും, അവരോടൊപ്പം തന്നെ കിട പിടിച്ചു നില്‍ക്കുന്ന എനര്‍ജിയുമായി മാസ്റ്റര്‍ സനൂപ് സന്തോഷിനെയും മറ്റു അഭിനേതാക്കളെയും ചിത്രത്തില്‍ കാണാന്‍ സാധിക്കും.
ആകെ മൊത്തത്തില്‍ ഈ ക്രിസ്മസ് - ന്യൂ ഇയര്‍ അവധി കാലത്ത് കുടുംബത്തോടൊപ്പം ചിരിക്കാനും സന്തോഷിക്കാനും നിങ്ങള്‍ ഇഷ്ടപ്പെടുന്നുണ്ടേങ്കില്‍ തീര്‍ച്ചയായും 'ജോ ആന്‍ഡ് ദി ബോയ്‌' കാണുക !!smile emoticon smile emoticon